Hayward, CA · Alameda County
Rental Housing Inspection Program Affidavit
Property owners use this affidavit to request an exemption from Hayward’s Rental Housing Inspection Program for a qualifying single-family home.
What this form is
The affidavit asks for the property address, owner contact information, names of adults living at the property, and whether they are related to the owner. The owner declares that occupants pay no rent or other compensation and that no property expenses are claimed as personal income tax deductions. Owners must return it with a utility bill in the owner’s name; only single-family homes qualify for an exemption.
Who needs it
A Hayward property owner seeking an exemption for a single-family home where occupants pay no rent or other compensation may submit this affidavit.
How to submit it
Return the completed form with a copy of a utility bill in the property owner’s name to the City of Hayward Code Enforcement Division, Rental Inspection Program, 777 B Street, Hayward, CA 94541.
About notarization
This document is signed and dated without a notary; the form requests a utility bill attachment, and the owner simply signs and dates it.
How to submit this form
- 1
Download the Affidavit
Download the Rental Housing Inspection Program Affidavit.
- 2
Complete the Form
Enter the date, property address, owner contact information, and names of adults living on the premises; complete the relationship and declaration sections.
- 3
Gather the Utility Bill
Include a copy of a utility bill in the property owner’s name. The form states that only single-family homes qualify for an exemption.
- 4
Sign and Submit
Sign the affidavit and return it with the utility bill to the City of Hayward Code Enforcement Division, Rental Inspection Program, at the listed address.
Frequently asked questions
- What does the Rental Housing Inspection Program Affidavit do?
- It lets a property owner declare that occupants pay no rent or other compensation and that property expenses are not claimed as personal income tax deductions.
- Who can qualify for an exemption?
- The form states that only single-family homes qualify. The owner must also provide a utility bill in the owner’s name with the completed affidavit.
- Do I need a notary for the Rental Housing Inspection Program Affidavit?
- No. The document is signed and dated without a notary. It requests a utility bill attachment, and the owner simply signs and dates the form.
- How do I submit the Rental Housing Inspection Program Affidavit?
- Return the completed form with a copy of a utility bill in the property owner’s name to the City of Hayward Code Enforcement Division, Rental Inspection Program, at 777 B Street, Hayward, CA 94541.